Orthopedic Challenges in Avascular Necrosis Management: A Case Report of Surgical Complications and Multidisciplinary Care

A 52-year-old woman, with a multifaceted medical background encompassing spinal cord injury, pneumonia, and recurrent hospitalizations, presents with enduring left hip and leg discomfort ultimately diagnosed as avascular necrosis (AVN). She previously underwent intraosseous direct anterior arthropla...

Full description

Saved in:
Bibliographic Details
Published inCureus Vol. 16; no. 4; p. e57629
Main Authors Ansari, Ali Z, Patel, Dhruv U, Desai, Shivum, Manawa, Adarsh, Patibandla, Srihita, Kratz, Kurt
Format Report
LanguageEnglish
Published 01.04.2024
Online AccessGet full text

Cover

Abstract A 52-year-old woman, with a multifaceted medical background encompassing spinal cord injury, pneumonia, and recurrent hospitalizations, presents with enduring left hip and leg discomfort ultimately diagnosed as avascular necrosis (AVN). She previously underwent intraosseous direct anterior arthroplasty (DAA) of the left hip during the removal of orthopedic artifacts. Despite enduring hypertension, severe trochanter dislocation, and prosthesis fracture, she recovered and required additional surgery to address the dislocation and fracture. This case underscores the challenges in diagnosing and treating AVN, emphasizing the importance of meticulous postoperative care and a multidisciplinary approach. Challenges highlighted by AVN include delayed diagnosis, intricate surgical procedures, and the potential need for further interventions due to hardware complications and infection as seen in this patient.
AbstractList A 52-year-old woman, with a multifaceted medical background encompassing spinal cord injury, pneumonia, and recurrent hospitalizations, presents with enduring left hip and leg discomfort ultimately diagnosed as avascular necrosis (AVN). She previously underwent intraosseous direct anterior arthroplasty (DAA) of the left hip during the removal of orthopedic artifacts. Despite enduring hypertension, severe trochanter dislocation, and prosthesis fracture, she recovered and required additional surgery to address the dislocation and fracture. This case underscores the challenges in diagnosing and treating AVN, emphasizing the importance of meticulous postoperative care and a multidisciplinary approach. Challenges highlighted by AVN include delayed diagnosis, intricate surgical procedures, and the potential need for further interventions due to hardware complications and infection as seen in this patient.
Author Ansari, Ali Z
Manawa, Adarsh
Desai, Shivum
Patel, Dhruv U
Patibandla, Srihita
Kratz, Kurt
Author_xml – sequence: 1
  givenname: Ali Z
  surname: Ansari
  fullname: Ansari, Ali Z
– sequence: 2
  givenname: Dhruv U
  surname: Patel
  fullname: Patel, Dhruv U
– sequence: 3
  givenname: Shivum
  surname: Desai
  fullname: Desai, Shivum
– sequence: 4
  givenname: Adarsh
  surname: Manawa
  fullname: Manawa, Adarsh
– sequence: 5
  givenname: Srihita
  surname: Patibandla
  fullname: Patibandla, Srihita
– sequence: 6
  givenname: Kurt
  surname: Kratz
  fullname: Kratz, Kurt
BookMark eNqVizFPwzAQRi1UJAp04wfcyNLipE2dslURqEtBAvbq5FxTI-ccfDYS_HoyMLAyfU_63rtUEw5MSt0UemFMtbmzOVKWRWXW5eZMTctiXc_rol5N_vCFmom8a60LbUpt9FR9P8d0CgO1zkJzQu-JOxJwDNtPFJs9RngiG4M4gT0ydtQTp3vYQoNC8EJDiAnCEV5z7JxFD03oBz9ScoEFkFvYZ59c68S68WCMX2Mb6VqdH9ELzX73St0-Prw1u_kQw0cmSYd-TMh7ZApZDktdFavS1EYv_6H-AC2oW5s
ContentType Report
DBID 7X8
DOI 10.7759/cureus.57629
DatabaseName MEDLINE - Academic
DatabaseTitle MEDLINE - Academic
DatabaseTitleList MEDLINE - Academic
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 2168-8184
EndPage e57629
Genre Report
Case Study
GroupedDBID 3V.
53G
5VS
7X7
7X8
8FI
8FJ
ABUWG
ADBBV
AFKRA
ALIPV
ALMA_UNASSIGNED_HOLDINGS
AOIJS
BCNDV
BENPR
BPHCQ
BVXVI
CCPQU
FYUFA
GROUPED_DOAJ
HMCUK
HYE
KQ8
M48
OK1
PGMZT
PIMPY
PQQKQ
PROAC
RPM
UKHRP
ID FETCH-proquest_miscellaneous_30514278703
IEDL.DBID M48
ISSN 2168-8184
IngestDate Sat Aug 17 05:16:28 EDT 2024
IsPeerReviewed false
IsScholarly false
Issue 4
Language English
LinkModel DirectLink
MergedId FETCHMERGED-proquest_miscellaneous_30514278703
Notes ObjectType-Case Study-2
content type line 59
SourceType-Reports-1
ObjectType-Report-1
PQID 3051427870
PQPubID 23479
ParticipantIDs proquest_miscellaneous_3051427870
PublicationCentury 2000
PublicationDate 20240401
PublicationDateYYYYMMDD 2024-04-01
PublicationDate_xml – month: 04
  year: 2024
  text: 20240401
  day: 01
PublicationDecade 2020
PublicationTitle Cureus
PublicationYear 2024
SSID ssj0001072070
Score 3.5269036
Snippet A 52-year-old woman, with a multifaceted medical background encompassing spinal cord injury, pneumonia, and recurrent hospitalizations, presents with enduring...
SourceID proquest
SourceType Aggregation Database
StartPage e57629
Title Orthopedic Challenges in Avascular Necrosis Management: A Case Report of Surgical Complications and Multidisciplinary Care
URI https://search.proquest.com/docview/3051427870
Volume 16
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV1bS8MwFD7sIuKbV7yOI_jgS2uXXtL6IrNsDGFT1EHfRpKlbCAttiuov96kXXEwQR8D4XDI7fuS850cgCvpUKGjO4ZQfN5w_JlvcIsLrQToBq6kjMU6ojsae8OJ8xC5UQPqaqOrAcx_vdrpelKT7M38eP-8Uxte8VeTUje4EUUmi9xUzJkETWgTnQSkRXwrol--tliUWGXlONL1fEOhlFOp4DcMbJzJJdAMdmGrYsR70JDJPmyPVqHvA_h6zJZz5ZtqY1hXQMlxkWCvVpPiWGrQW-T4I2q5xR6GCqmwsotpjC9FVh53GK7LyZElMyzTcdcTdVHnJx3C9aD_Gg6N2uWpWhz6xZ8lMi3yqa1_Nyd6T9pH0ErSRB4DUo9xX8SuFTPLcbjgnMxcoXgXsy0eBOwELv80d_qPPmewQxQDqGQu59BaZoW8UAi-5B1o0oh2oH3fHz89d8qp-gYqVaUA
link.rule.ids 783,787,2228,4498,24331,27938,31733,33758
linkProvider Scholars Portal
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Orthopedic+Challenges+in+Avascular+Necrosis+Management%3A+A+Case+Report+of+Surgical+Complications+and+Multidisciplinary+Care&rft.jtitle=Cureus&rft.au=Ansari%2C+Ali+Z&rft.au=Patel%2C+Dhruv+U&rft.au=Desai%2C+Shivum&rft.au=Manawa%2C+Adarsh&rft.date=2024-04-01&rft.issn=2168-8184&rft.eissn=2168-8184&rft.volume=16&rft.issue=4&rft.spage=e57629&rft.epage=e57629&rft_id=info:doi/10.7759%2Fcureus.57629&rft.externalDBID=NO_FULL_TEXT
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2168-8184&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2168-8184&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2168-8184&client=summon